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  • Subject Name : Nursing

Role of Registered Nurse

According to the literature presented by Lukewich et al., (2019), The registered nurses plays an important role in the provision of high‐quality care to the patient by playing their role well in the provision of competent, efficient, appropriate, and effective care services. In a study presented by Susan, (2012) it has been stated that RN plays an important role in nursing surveillance i.e., monitoring the patient condition, characteristics, past history, and possible consequences that may occur and this has been considered as an important intervention for reducing the adverse patient events. Another important role played by RN is maintaining effective communication not only with the patients but also with the staff members as this builds an effective teamwork and an effective teamwork is necessary as it has globally being recognized as one of the most important measure to construct patient-centred health care delivery system and attaining patient safety (Babiker et al., 2014). Along with this, documenting and recording every aspect of patients’ condition and the care they are receiving is also an important aspect where RN plays a major role (Urguhart et al., 2018). However, in the given case scenario none of the above roles were played well by the RN neither proper monitoring was done nor there was an effective communication with the other staff and this resulted in the death of the patient.

Recommendation for Clinical Governance

Clinical governance is implemented in the health system to improve the quality of care and patient safety (Veenstra et al., 2017). In case scenario of Judith McNaught, if there was an appropriate implementation of clinical governance then, patient outcome would have been different. The recommendation regarding clinical governance particularly for this case would be based on striving for the safe and quality care for the patient. And, for this effective communication, teamwork , and leadership would have been worked the best. It has been seen that the quality of care increases when the nurses and other healthcare providers stimulate appropriate and effective communication regarding the patient. Communicating the information and data of the patient is important, such as while transferring a patient to another department or in consultations at the time of handover with other healthcare professionals to avoid any harm and risk to the patient. Collaborating with the other healthcare providers and the staff members result in the high-quality patient care as it enhance the mutual learning and augments the skills and knowledge within a team. Along with communication and teamwork leadership is an important aspect of clinical governance that is recommended in Judith McNaught’s case as it helps in supporting the teamwork and in creating a safe working environment (Veenstra et al., 2017).

Communication and Documentation Error

Medical errors are considered to be one of the most commonly occurring errors that happens negligence of the healthcare professional and this results in either negative health outcomes or sometimes the death of the patient (Bari et al., 2016) and similarly happened with the patient, Judith McNaught who died because of this. The RU nurse did not get any information about patient’s MEWS score that was if documented then, untimely death of the patient would not have occur along with this the decision taken by Dr. Atherstone to keep the patient under observation was not being documented this showed the documentation error. A poor communication has also been seen among the healthcare providers that lead to communication error and it has been seen that documentation of every aspect regarding the patient is considered as an important source of reference as well as communication among the nurses and other healthcare professionals. Communication error is the failure of conveying patient’s information either verbally or non-verbally i.e., in documenting that information and this could result into a potential threat to the patient that can even prejudice with the life of the patient (Rodziewicz & Hipskind, 2020).

References for Health Care Professional Development

Babiker, A., El Husseini, M., Al Nemri, A., Al Frayh, A., Al Juryyan, N., Faki, M. O., Assiri, A., Al Saadi, M., Shaikh, F., & Al Zamil, F. (2014). Health care professional development: Working as a team to improve patient care. Sudanese Journal of Paediatrics, 14(2), 9–16.

Bari, A., Khan, R. A., & Rathore, A. W. (2016). Medical errors; causes, consequences, emotional response and resulting behavioral change. Pakistan Journal of Medical Sciences32(3), 523–528. https://doi.org/10.12669/pjms.323.9701

Lukewich, J. A., Tranmer, J. E., Kirkland, M. C., & Walsh, A. J. (2019). Exploring the utility of the nursing role effectiveness model in evaluating nursing contributions in primary health care: A scoping review. Nursing Open, 6(3), 685–697. https://doi.org/10.1002/nop2.281

Rodziewicz, T. L., & Hipskind, J. E. (2020). Medical Error Prevention. In StatPearls. StatPearls Publishing.

Susan, D. (2012). The role of nursing surveillance in keeping patients safe. JONA: The Journal of Nursing Administration, 42(7), 361-368. doi: 10.1097/NNA.0b013e3182619377

Urquhart, C., Currell, R., Grant, M. J., & Hardiker, N. R. (2018). WITHDRAWN: Nursing record systems: Effects on nursing practice and healthcare outcomes. The Cochrane Database Of Systematic Reviews, 5(5), CD002099. https://doi.org/10.1002/14651858.CD002099.pub3

Veenstra, G. L., Ahaus, K., Welker, G. A., Heineman, E., van der Laan, M. J., & Muntinghe, F. L. (2017). Rethinking clinical governance: Healthcare professionals' views: A Delphi study. BMJ Open, 7(1), e012591. https://doi.org/10.1136/bmjopen-2016-012591

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